INTEGRIS MENTAL HEALTH (NPI# 1902196421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902196421 |
| Entity Type | Organization |
| Organization Name | INTEGRIS MENTAL HEALTH |
| Practice Address |
2601 Spencer Rd Spencer OK 73084-3649 |
| Mailing Address |
1304 Garland Ave Oklahoma City OK 73111-4710 |
| Practice Telephone | 4054272441 |
| Mailing Telephone | 4052347047 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2011-04-18 |
| Authorized Official Name | MRS. MICHELLE TINGLER (HUMAN RESOURCES) |
| Authorized Official Telephone | 4054272441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
2601 SPENCER RD |
| City | SPENCER |
| State | OK |
| Zip Code | 73084-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225022924 | Linda K Ramer | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2005-09-08 |
| 1649650649 | Patrick James Kennedye | Family Medicine | 2601 Spencer Rd, Spencer, OK 73084 | 2015-06-04 |
| 1184038572 | Kanwaldeep Mann | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-06-13 |
| 1437560398 | Integris Baptist Medical Center | Psychiatric Unit | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-14 |
| 1669883781 | Connie Jo Johnson | Registered Nurse | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2014-05-12 |
| 1356781199 | William Oliva | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2013-06-25 |
| 1730315193 | Brett Irish Cunningham | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2009-05-29 |
| 1013173780 | Naveena Sesikeran Boindala | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2008-08-01 |
| 1811157829 | Humaira Abid | Psychiatry & Neurology | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2008-06-12 |
| 1992919773 | B. T. Jones Jr. | Physician Assistant | 2601 Spencer Rd, Spencer, OK 73084-3649 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1316484751 | Marcus Alexander | Case Manager/Care Coordinator | 8226 Ne 26 St, Spencer, OK 73084 | 2017-01-24 |
| 1538589957 | Marcy Thornton | Counselor | #5 Rock N Horse, Spencer, OK 73084 | 2014-04-24 |
| 1710313457 | Janice Kemp | Counselor | 8717 Ne 47th, Spencer, OK 73084 | 2013-09-25 |
| 1629402367 | Robert Benard Smith II | Behavioral Analyst | 8900 Ne 51 St, Spencer, OK 73084 | 2013-08-29 |
| 1508201765 | Marlon T James | Counselor | 3711 Red Bud Dr, Spencer, OK 73084 | 2013-05-01 |
| 1144580341 | Krishaun Jackson | Counselor | 10901 N.e 59th St., Spencer, OK 73084 | 2012-05-22 |
| 1326317074 | Jamie Tyrell Thompson | Behavioral Analyst | 7924 Glory Road, Spencer, OK 73084 | 2011-12-27 |
| 1770860793 | Wendy Jones | Counselor | 8904 N.e 45th St., Spencer, OK 73084 | 2011-11-04 |
| 1114258605 | Florence Yvonne Alexander | Counselor | 12724 Ne 38th, Spencer, OK 73084 | 2010-01-22 |
| Find all providers in zip 73084 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821216797 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 318 Grant St, Spencer, NC 28159-1676 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321070 | April Brock | Community Based Residential Treatment Facility, Mental Illness | 106 12th Ave Ne, Miami, OK 74354-3373 | 2017-04-25 |
| 1114321486 | Cedric Glenn | Community Based Residential Treatment Facility, Mental Illness | 1721 E 72nd St, 1803, Tulsa, OK 74136-5372 | 2014-10-15 |
| 1083058523 | Mongo Allen | Community Based Residential Treatment Facility, Mental Illness | 829 Nw 142nd St, Edmond, OK 73013-1962 | 2013-04-27 |
| 1801133236 | Southeastern Oklahoma Family Services | Community Based Residential Treatment Facility, Mental Illness | 1501 N Washington Ave, Durant, OK 74701-2127 | 2013-01-04 |
| 1043595879 | Oaktree Counseling Services | Community Based Residential Treatment Facility, Mental Illness | 2104 Nw Britni Cir, Lawton, OK 73505-3121 | 2011-10-12 |
| 1790089829 | Southern Oklahoma Treatment Services | Community Based Residential Treatment Facility, Mental Illness | 5862 Us Hwy 70, Mead, OK 73449 | 2011-01-04 |
| 1285966747 | Dr. C Professional Services, Pllc | Community Based Residential Treatment Facility, Mental Illness | 7109 S Kentucky Ave, Oklahoma City, OK 73159-3427 | 2010-02-09 |
| 1881921898 | Sequoyah Residential Mental Health Facility, Inc | Community Based Residential Treatment Facility, Mental Illness | 103 N Wheeler Ave, Sallisaw, OK 74955-4617 | 2009-11-11 |
| 1790922185 | State of Oklahoma | Community Based Residential Treatment Facility, Mental Illness | 2323 South Harvard, Tulsa, OK 74114 | 2009-01-07 |
| 1558570309 | Meadow Brook Residential Care Facility | Community Based Residential Treatment Facility, Mental Illness | 1000 Meadow Lane, Howe, OK 74940 | 2007-05-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.